Active NPI
Larry Lee Lausch Jr., D.C.
- Chiropractor
- Ephrata, PA
National Provider Identifier
1629031364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005653L
- Practice address
- 11 Long Ave
Ephrata, PA 17522-9795 - Phone
- (717) 733-6886
- Fax
- (717) 733-6996
- NPI assigned
- Apr 11, 2006
- Last updated
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005653L | PA | Primary |
Addresses
Primary practice location
11 Long Ave
Ephrata, PA 17522-9795
Mailing address
11 Long Ave
Ephrata, PA 17522-9795
Phone (717) 733-6886
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50000860 | Other | PA | CAPITAL BLUE CROSS |
| P00082236 | Other | RAILROAD | |
| 4674663 | Other | PA | AETNA |
| 1338500 | Other | PA | HIGHMARK BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Muddy Creek Church Rd
Denver, PA 17517-9357
Phone (717) 733-6866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Pain Relief & Wellness, PC | Chiropractor | Current | Accepting new patients |
Locations
11 Long Ave
Ephrata, PA 17522
Phone (717) 733-6866
916 N Reading Rd
Ephrata, PA 17522
Phone (717) 336-8110
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Ephrata, PA
- NPI 1366465387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1629031364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LONG AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229795",
"telephone_number": "717-733-6886",
"fax_number": "717-733-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 LONG AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229795",
"telephone_number": "717-733-6886",
"fax_number": "717-733-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUSCH",
"first_name": "LARRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005653L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50000860",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00082236",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4674663",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1338500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.